Registration Form

Student(s)

Student One

Student 1 Name*

First

Last

Student 1 Year of commencement*

Student 1 Entry year*

Student 1 Date of Birth*

Student 1 Gender*

Male
Female

Student Two

Student 2 Name

First

Last

Student 2 Year of commencement

Student 2 Entry year

Student 2 Date of Birth

Student 2 Gender

Male
Female

Student Three

Student 3 Name

First

Last

Student 3 Year of commencement

Student 3 Entry year

Student 3 Date of Birth

Student 3 Gender

Male
Female

Student Four

Student 4 Name

First

Last

Student 4 Year of commencement

Student 4 Entry year

Student 4 Date of Birth

Student 4 Gender

Male
Female

Parent(s)/Guardian(s)

Parent/Guardian One

Parent 1 Name*

Title

First

Last

Parent 1 Address*

House Number

Street Name

Suburb

State

Postcode

Parent 1 Phone number category*

Parent 1 Contact phone number*

Parent 1 Email*

Parent/Guardian Two

Parent 2 Name

Title

First

Last

Parent 2 Address

(leave blank if same as above)

House Number

Street Name

Suburb

State

Postcode

Parent 2 Phone number category

Parent 2 Contact phone number

Parent 2 Email

For marketing purposes, please indicate how did you first learn about the College?

How did you hear about Kennedy?

Please specify

The Registration of Interest will place your child/ren on a waitlist, Enrolment will only be confirmed after satisfactory interviews have been conducted usually 1-2 years prior to commencement.

Please print a copy of this form BEFORE submitting if planning to pay the $50 registration fee in person.

Register Online:

Student(s)

Student One

Student Two

Student Three

Student Four

Parent(s)/Guardian(s)

Parent/Guardian One

Parent/Guardian Two